A knocked out tooth can make the entire day into a frightening experience. A bump on the playground, a fall off of a bike, a hit during a game and a tooth in your hand rather than in your mouth. The good news is that if you are quick and calm, a permanent tooth may be saved. We do see these emergencies regularly in our practice and know that the first few minutes can be crucial. Parents, teachers, coaches and adults should know how to handle knocked out tooth emergencies. This blog outlines what to do immediately, how to distinguish baby teeth from permanent teeth, what not to do, and how to maintain the tooth until it reaches the dentist.
If a permanent tooth is knocked out, what is the first thing to do?
Locate the tooth rapidly. If dirty, gently rinse with milk or saline for a few seconds. Then try to place it back into its socket and bite on clean gauze or cloth to hold it in place. Seek immediate care for knocked-out tooth.
Why Every Minute Counts
- Root cells are living cells: When dry, tiny cells on the root begin dying which is why root cells are necessary.
- The ideal window: Many dentists indicate that the window of opportunity for saving the tooth is within 30 to 60 minutes.
- Less damage: If treated quickly, there may be a reduced risk of infection and future root issues.
The quicker you act, the better your dentist will have in terms of treatment options for knocked-out teeth.
How do you know if the knocked-out tooth is a permanent tooth or not?
The simplest indicator is age. Babies typically have only milk teeth up until they are about 6 years old. Children ages 6-12 have a combination of baby teeth and permanent teeth. Typically, adults and teens will only be missing permanent teeth. When in doubt, save the tooth and have it examined by your dentist.
Baby Teeth vs. Permanent Teeth
| Baby Teeth | Permanent Teeth |
| Smaller, whiter tooth, has a short or worn down root. Babies’ teeth are not placed back in the mouth by the dentist, as this can affect the growth of the adult tooth underneath. | It is big, slightly yellow, long root. What’s important here is the promptness with which knocked out tooth cases are handled as putting the tooth back quickly can help save the tooth. |
If a tooth has been knocked out, what should you NOT do?
Handle a knocked-out tooth gently. Only hold it by the white (chewing) part of the crown. Don’t touch the long, pointed end that was inside the gum (root). The root is extremely vulnerable to damage by handling. If possible, wash hands.
The following are some of the most frequently made errors.
- The tooth scrubbing: Do not brush, wipe or scrape the tooth, no matter how dirty it appears.
- Cleaning with soap or chemicals: AVOID cleaning with soap, alcohol, bleach or mouthwash.
- Paper wrapping will absorb moisture from the tender root.
- Placing it in ordinary water: Water can cause root cells to swell and break.
- If the tooth doesn’t slide back easily do not push it hard, it is called forcing it in.
What to do to preserve the tooth’s condition in the meantime until the dentist?
The ideal position of the tooth is in its tooth socket. If impossible, store it moist at all times. Put it in a clean, closed plastic container with a safe liquid inside, and carry it. The tooth doesn’t become dry during travel if it is kept moist.
Temporary Storage Choices
- A common remedy in most households and stores: cold milk.
- Tooth-saving kit: These kits contain an inside liquid that is made to shield teeth.
- Saline: Sterile salt water will work for a limited time.
- Saliva: For adults, it is safe to keep the tooth in the cheek; but not for small children, as they may swallow the tooth.
- Next step: Seek emergency treatment for the loss of any tooth as soon as possible.
Get Immediate Relief with Our Emergency Care!
Dental Emergencies Can’t Wait!
- Immediate Pain Relief
- Same-Day Extractions
- Urgent Dental Treatments
Conclusion
A knocked-out tooth is frightening, but here’s what to do. Look for the tooth, handle it gently, keep it moist, and visit a dentist as soon as possible. Here are some straightforward measures that can go a long way for a permanent tooth. Seek professional assistance immediately, even if the tooth looks okay when it is reinserted. LiT Dental McKinney TX provides loving dental care for children, as well as tooth fillings, crowns, teeth whitening, veneers and other cosmetic dental care for the entire family. From a post-injury check-up to improving the appearance and health of your smile, we’re here to help. Just give us a call at LiT Dental and save our number in your phone for unexpected times.
